Individual provider Active NPI

Raymond W. Lee, M.D.

  • Hematology & Oncology Physician
  • San Jose, CA
National Provider Identifier
1053317818
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
G44983 Issued in CA
Practice address
200 Jose Figueres Ave
Ste 245
San Jose, CA 95116-1588
Phone
(408) 923-3388
NPI assigned
Jun 24, 2005
Reactivated
Jun 27, 2006
Last updated
May 13, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X G44983 CA Primary

Addresses

Primary practice location

200 Jose Figueres Ave
Ste 245
San Jose, CA 95116-1588

Mailing address

200 Jose Figueres Ave
Ste 245
San Jose, CA 95116-1588
Phone (408) 923-3388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081111000245 CA Practitioner - Internal MedicinePractitioner - Hematology/Oncology 2062571672 Reassigns benefits to 1 organization
Practice locations: San Jose, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hematology/Oncology
Education
University of California, San Francisco School of Medicine, 1980
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

200 Jose Figueres Ave
Suite 245
San Jose, CA 95116-1599
Phone (408) 923-3388

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G44983CAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Hematology Oncology Associates Hematology & Oncology CurrentSince Aug 1, 2017 Accepting new patients
County of Santa Clara PastSince Aug 1, 2017 Accepting new patients

Locations

200 Jose Figueres Ave
Ste 245
San Jose, CA 95116
Phone (408) 923-3388

Interoperability endpoints

  • Direct secure messaging: rlee125802@santaclaravalley.direct-ci.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210636800000",
    "number": "1053317818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE",
            "address_2": "STE 245",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161588",
            "telephone_number": "408-923-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 JOSE FIGUERES AVE",
            "address_2": "STE 245",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951161588",
            "telephone_number": "408-923-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "RAYMOND",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2008-05-13",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "G44983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.